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Home › PA › South Park › Nurturers By Nature Early Learning Center
6374 Library Rd, South Park PA 15129 · License #CER-00252375 · Center · Child Care Center
Not published by the state. Owners can add hours via profile claim.
When they operate
Ages served
3270.121(b) · At the time of enrollment, a parent shall receive in writing the facility's general daily schedule, hours for which care is provided, fees, responsibilities for meals, clothing, health policies, supervision policies, night care policies, dismissal policies, transportation and pick-up arrangements.
A written policy change to transportation was not provide to the parent of child #1. The transportation change was agreed upon between the parent and the facility verbally.
Corrected Corrected by Feb 9, 2026
Category: supervision. Marked corrected in the state record.
3270.27(c)/3270.192(2)(iii) · The operator shall assure that each facility person receives training regarding the emergency plan at the time of initial employment, on an annual basis and at the time of each plan update. The operator shall document the date of each training and the names of all facility persons who received the training and kept on file at the facility. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.
The file for staff #5 contains emergency plan training that was obtained late. It was due 6/30/25 and obtained 8/2025.
Corrected Corrected by Aug 1, 2025
Category: recordkeeping. Marked corrected in the state record.
Disposition: Compliant - Finalized
Generated from this facility's specific inspection record
Data synced from Pennsylvania DHS, Office of Child Development and Early Learning on Jul 8, 2026 · Source records · Report an error
3270.31(e)(4)(ii)/3270.192(2)(iii) · Staff persons shall participate, at least annually, in fire safety training conducted by a fire protection professional. Staff persons and volunteers shall receive training in maintenance of smoke detectors, the duties of facility persons during a fire drill and during a fire and the use of the facility's fire extinguishers, not including discharge of the fire suppressant agent. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.
The files for staff #1 and #2 contain fire safety training that was updated late. #1 was due 9/2024 and obtained 4/2025; #2 was due 4/2025 and obtained 12/2025.
Corrected Corrected by Dec 4, 2025
Category: recordkeeping. Marked corrected in the state record.
3270.32(a)/3270.192(4) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL.
The file for staff #5 contains a disclosure statement that was signed late. It was due 3/2025 and signed 8/2025.
Corrected Corrected by Aug 8, 2025
Category: background checks. Marked corrected in the state record.
3270.32(a) · The operator shall comply with the CPSL and with Chapter 3490 (relating to Child Protective Services).
Staff person #5 had not completed the mandated reporter training within 90 days of their date of hire (see LIS code sheet). The training was due 6/30/25 and was obtained 12/2025.
Corrected Corrected by Dec 17, 2025
Category: recordkeeping. Marked corrected in the state record.
3270.66(b) · Cleaning materials and other toxic materials shall be stored in an original labeled container or in a container that specifies the content. Toxics shall be stored away from food, food preparation areas and child care spaces.
Observed croutons on the top of the refrigerator stored next to dish soap and clorox (toxics).
Corrected Corrected by Dec 15, 2025
Category: ratio. Marked corrected in the state record.
3270.102(a) · Toys, play equipment and other indoor and outdoor equipment used by the children shall be clean, in good repair and free from rough edges, sharp corners, pinch and crush points, splinters and exposed bolts.
Observed children of YT age being cared for in seats with straps that are intended to be used when the children are in the seats. The straps were not used while the children were being cared for in the seats. Observed a sharp plastic tie on the play house in the YT area.
Corrected Corrected by Jan 23, 2026
Category: physical safety. Marked corrected in the state record.
3270.135(a)(3) · If disposable diapers are provided by a parent or by a facility, a soiled diaper shall be discarded by immediately placing the diaper into a plastic-lined, hands-free covered can.
The diapering area for the YT children lacked a plastic-lined, hands-free covered can.
Corrected Corrected by Jan 30, 2026
Category: health medication. Marked corrected in the state record.
3270.151(a)/3270.192(3) · A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem. A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.
The files for staff #3, #4 and #5 contain late health assessments. #3 was due 11/2025 and obtained 12/2025; #4 was due 9/8/2025 and obtained 9/30/2025; #5 was due 3/2025 and obtained 5/2025.
Corrected Corrected by Jan 15, 2026
Category: ratio. Marked corrected in the state record.
3270.151(c)(2)/3270.192(3) · An adult health assessment must include tuberculosis screening by the Mantoux method at initial employment. Subsequent tuberculosis screening is not required unless directed by a physician, physician's assistant, CRNP, the Department of Health or a local health department. A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.
The file for staff #5 lacks a valid TB test. The TB test on file is too old (11/2022). It exceeds 12 months old.
Corrected Corrected by Jan 17, 2026
Category: health medication. Marked corrected in the state record.
3270.182(5) · A child's record shall contain signed parental consent for administration of minor first-aid procedures by facility staff. Written consent is required prior to admission.
The file for child #1 lacks signed parental consent for administration of minor first-aid procedures by facility staff.
Corrected Corrected by Dec 16, 2025
Category: ratio. Marked corrected in the state record.
3270.95(a)/3270.95(b) · Fire detection devices or systems must be in compliance with standards established under section 1016(c) of the act (62 P.S. § 1016(c)). The Director or designated staff person who is responsible for compliance with this chapter shall ensure the requirements under subsection (a) are met.
The facility's fire detection system testing exceeded 30 days on 2 occasions in the past 12 months: 12/6/24-2/14/25; 5/30/25-7/3/25.
Corrected Corrected by Jul 3, 2025
Category: recordkeeping. Marked corrected in the state record.
3270.31(e)/3270.192(2)(iii) · A staff person shall obtain an annual minimum of 12 clock hours of child care training. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.
The file for staff #2 contains 1 of the 12 annual child care training hours that was obtained late. 12 hours were to be obtained between 2/2025 - 2/2025. 1 hour was obtained 7/2025.
Corrected Corrected by Dec 16, 2025
Category: recordkeeping. Marked corrected in the state record.
3270.31(f) · Staff person(s) shall complete professional development in the topics of 3270.31(f)(1 -- 10) within 90 days of hire. Staff person #1 will have until 9/3/2025 to complete the required training. Until such time as the required training has been completed, staff person #1 must be supervised, when interacting with children, by an AGS who has completed the required training related to this citation. If there are no staff available to supervise staff person #1, staff person #1 may not work in a child-care position at the facility.
Staff person #1 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): health and safety training part 1 and part 2.
Corrected Corrected by Aug 1, 2025
Category: supervision. Marked corrected in the state record.
3270.61(c) · Indoor child care space is measured within permanent stationary partitions or walls. The allowable number of children in a space is determined by dividing the total square feet in a space by 40.
Upon arrival, observed children being care for in unlicensed space. The space was measured and added on the date of the inspection.
Corrected Corrected by Dec 10, 2024
Category: physical safety. Marked corrected in the state record.
3270.76 · Floors, walls, ceilings and other surfaces, including the facility's outdoor play space surfaces shall be kept clean, in good repair and free from visible hazards.
Observed a sharp corner on a countertop in the newly measured space. (new side)
Corrected Corrected by Dec 12, 2024
Category: physical safety. Marked corrected in the state record.
3270.77(a) · Peeled or damaged paint or damaged plaster is not permitted on indoor or outdoor surfaces in the child care facility.
Observed peeling paint on various walls and various areas in the outside play space.
Corrected Corrected by Dec 27, 2024
Category: physical safety. Marked corrected in the state record.
3270.124(f)/3270.181(c) · The parent shall update in writing emergency contact information once in a 6-month period or as soon as there is a change in the information. A parent is required to review and update the emergency contact information and the financial agreement at least once in a 6-month period or as soon as there is a change in the information.
The file for child #1 lacks a parental update in writing on the emergency contact information and the agreement in a 6-month period. The update was due 9/2024.
Corrected Corrected by Dec 13, 2024
Category: recordkeeping. Marked corrected in the state record.
3270.131(a)(2)/3270.182(1) · The initial health report for a young toddler must be dated no more than 6 months prior to the first day of attendance at the facility. A child's record shall contain initial and subsequent health reports.
The file for child #2 lacks an initial health assessment. Immunizations are on file. The health assessment was due 10/12/24.
Corrected Corrected by Dec 10, 2024
Category: health medication. Marked corrected in the state record.
3270.131(b)(1)/3270.182(1) · The operator shall require the parent to provide an updated health report at least every 6 months for an infant or young toddler. A child's record shall contain initial and subsequent health reports.
The file for child #3 lacks an updated health assessment. The health assessment was due 11/2024.
Corrected Corrected by Jan 13, 2025
Category: health medication. Marked corrected in the state record.
3270.131(b)(2)/3270.182(1) · The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child. A child's record shall contain initial and subsequent health reports.
The file for child #3 contains a health assessment that was obtained late. It was due 8/2024 and obtained 11/2024.
Corrected Corrected by Nov 2, 2024
Category: health medication. Marked corrected in the state record.
3270.151(a)/3270.192(3) · A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem. A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.
The file for staff #1 contains a health assessment that was updated late. It was due 4/2024 and obtained 5/2024.
Corrected Corrected by May 10, 2024
Category: ratio. Marked corrected in the state record.
3270.61(h) · The capacity established for an indoor space may not be exceeded.
Observed 5 children in care at 9:45am in the blue room. The capacity of the blue room is 4.
Corrected Corrected by Dec 10, 2024
Category: ratio. Marked corrected in the state record.
3270.52/3270.173(a) · When children are grouped in mixed age levels, the age of the youngest child in the group determines the staff:child ratio and maximum group size in accordance with the requirements in § 3270.51 (relating to similar age level).
PREVIOUSLY CITED ON 5/28/24: On 7/16/24 at approximately 6:56 AM, Staff #1 was observed as the driver and the only staff person in the facility owned vehicle while transporting 4 children (1 Infant, 1 Toddler, 1 Young School-Age, and 1 Older School-Age).
Corrected Corrected by Jul 16, 2024
Category: ratio. Marked corrected in the state record.
3270.173(b) · The driver may not be considered part of the staff-child ratio when infant, young or older toddler or preschool children are transported.
PREVIOUSLY CITED ON 5/28/24: On 7/16/24 at approximately 6:56 AM, Staff #1 was observed as the driver and only staff person in the facility owned vehicle while transporting 4 children (1 Infant, 1 Toddler, 1 Young School-Age, and 1 Older School-Age).
Corrected Corrected by Jul 16, 2024
Category: ratio. Marked corrected in the state record.
3270.31(e)(4)(i) · Competence is the completion of training by a professional in the field of first-aid and cardiopulmonary resuscitation (CPR). All staff persons shall renew their certification in pediatric first aid and pediatric cardiopulmonary resuscitation (CPR) on or before the expiration of the most current certification.
The Pediatric First Aid/CPR on file for Staff #1 is dated 4/14/22, more than 24 months prior.
Corrected Corrected by May 30, 2024
Category: ratio. Marked corrected in the state record.
3270.52/3270.173(a) · When children are grouped in mixed age levels, the age of the youngest child in the group determines the staff:child ratio and maximum group size in accordance with the requirements in § 3270.51 (relating to similar age level). The staff-child ratios specified in §§3270.51 and 3270.52 apply when infant, young or older toddler and preschool children are transported.
Based on staff interviews, 3 Infants, 1 YT, and 1 PSA are transported daily in the morning and on the facility's van with only Staff #2 present, who is also driving the van. The driver is not considered in staff-child ratio when infants, younger or older toddlers, or preschool-aged children are being transported.
Corrected Corrected by May 29, 2024
Category: ratio. Marked corrected in the state record.
3270.62(b)(2) · The minimum outdoor or indoor play space required per young or older toddler is 50 square feet.
At approximately 11:20 AM, 11 children (3 YT, 4 OT, 5 PSA, and 1 YSA) were observed on the outdoor play space with a max capacity of 10.
Corrected Corrected by May 28, 2024
Category: ratio. Marked corrected in the state record.
3270.106(f) · At least 2 feet of space is required on three sides of a bed, cot, crib or other rest equipment while the equipment is in use.
A crib in the Blue Room was observed to lack 2 feet on 3 sides while an infant was sleeping in the crib.
Corrected Corrected by May 28, 2024
Category: physical safety. Marked corrected in the state record.
3270.173(b) · The driver may not be considered part of the staff-child ratio when infant, young or older toddler or preschool children are transported.
Based on staff interviews, 3 Infants, 1 YT, and 1 PSA are transported daily in the morning and on the facility's van with only Staff #2 present, who is also driving the van. The driver is not considered in staff-child ratio when infants, younger or older toddlers, or preschool-aged children are being transported.
Corrected Corrected by May 29, 2024
Category: ratio. Marked corrected in the state record.
3270.95(a)/3270.95(b) · Fire detection devices or systems must be in compliance with standards established under section 1016(c) of the act (62 P.S. § 1016(c)). The Director or designated staff person who is responsible for compliance with this chapter shall ensure the requirements under subsection (a) are met.
The most recent fire alarm test date on file is 4/24/24, more than 30 days prior.
Corrected Corrected by May 28, 2024
Category: recordkeeping. Marked corrected in the state record.
3270.124(b)(6) · Emergency contact information must include health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable.
The emergency contact form for Child #2 lacked the Health Insurance/MA Coverage.
Corrected Corrected by Dec 7, 2023
Category: health medication. Marked corrected in the state record.
3270.102(a) · Toys, play equipment and other indoor and outdoor equipment used by the children shall be clean, in good repair and free from rough edges, sharp corners, pinch and crush points, splinters and exposed bolts.
In the Orange area, foam blocks were observed with teeth marks and were not in good repair.
Corrected Corrected by Dec 7, 2023
Category: physical safety. Marked corrected in the state record.
3270.21 · Conditions at the facility may not pose a threat to the health or safety of the children.
A loose crib sheet was observed on a crib in the Infant Room, causing the risk of suffocation.
Corrected Corrected by Dec 26, 2023
Category: health medication. Marked corrected in the state record.
3270.27(e) · The operator shall provide to the parent of each enrolled child a letter explaining the emergency procedures. The operator shall also provide to the parent of each enrolled child a letter explaining any subsequent update to the plan.
The letter to parents explaining the emergency procedures did not contain lockdown procedures, accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.
Corrected Corrected by Dec 7, 2023
Category: physical safety. Marked corrected in the state record.
3270.31(e)(4)(ii) · Staff persons shall participate, at least annually, in firesafety training conducted by a fire protection professional. Staff persons and volunteers shall receive training in maintenance of smoke detectors, the duties of facility persons during a fire drill and during a fire and the use of the facility's fire extinguishers, not including discharge of the fire suppressant agent.
The two most recent fire safety trainings on file for Staff #1 are dated 4/14/22 and 9/9/23, more than 12 months apart.
Corrected Corrected by Sep 9, 2023
Category: recordkeeping. Marked corrected in the state record.
3270.36(b)(5) · An assistant group supervisor shall have a high school diploma or a general educational development certificate and 2 years experience with children.
The file for Staff #2, classified as an assistant group supervisor, did not contain acceptable proof of education on file.
Corrected Corrected by Dec 8, 2023
Category: supervision. Marked corrected in the state record.
3270.75(c) · A first-aid kit must contain the following: soap, an assortment of adhesive bandages, sterile gauze pads, tweezers, tape, scissors and disposable, nonporous gloves.
The First Aid kit in the facility was missing tape.
Corrected Corrected by Dec 7, 2023
Category: health medication. Marked corrected in the state record.
3270.76 · Floors, walls, ceilings and other surfaces, including the facility's outdoor play space surfaces shall be kept clean, in good repair and free from visible hazards.
Cracked and loose floor tiles were observed in the entryway to the bathroom, which could be hazardous to children.
Corrected Corrected by Dec 7, 2023
Category: physical safety. Marked corrected in the state record.
3270.77(a) · Peeled or damaged paint or damaged plaster is not permitted on indoor or outdoor surfaces in the child care facility.
Peeling paint and plaster was observed in the back corner near the floor and next to the the large toilet in the bathroom. Peeling paint was observed on the purple wall near the floor.
Corrected Corrected by Dec 7, 2023
Category: physical safety. Marked corrected in the state record.
3270.102(a)/3270.103 · Toys, play equipment and other indoor and outdoor equipment used by the children shall be clean, in good repair and free from rough edges, sharp corners, pinch and crush points, splinters and exposed bolts. Toys and objects with a diameter of less than 1 inch, objects with removable parts that have a diameter of less than 1 inch, plastic bags and styrofoam objects may not be accessible to children who are still placing objects in their mouths.
A table leg with ripped and torn plastic tape was observed in a room with toddlers, that were less than 1 inch in diameter, located in the Green room.
Corrected Corrected by Dec 7, 2023
Category: physical safety. Marked corrected in the state record.
3270.105 · High chairs shall have a wide base and a T-shaped safety strap.
In the Green room, the 8-seat table only contained 5 of the 8 required T-shaped safety straps. Children were observed in the 3 seats that did not have T-shaped safety straps.
Corrected Corrected by Dec 7, 2023
Marked corrected in the state record.
3270.123(a) · An agreement shall be signed by the operator and the parent.
The file for Child #2 did not contain an financial agreement form.
Corrected Corrected by Dec 7, 2023
Category: recordkeeping. Marked corrected in the state record.
3270.123(a)(1) · An agreement shall specify the amount of the fee to be charged per day or per week.
The financial agreement on file for Child #1 is missing the fee amount.
Corrected Corrected by Dec 7, 2023
Category: recordkeeping. Marked corrected in the state record.
3270.124(b)(2) · Emergency contact information must include the name, address and telephone number of the child's physician or source of medical care.
The emergency contact forms for Child #2 lacked the address for physician or medical care provider and Child #5 lacked the name, address, and phone number for physician or medical care provider.
Corrected Corrected by Dec 7, 2023
Category: health medication. Marked corrected in the state record.
3270.124(b)(4)/3270.182(3) · Emergency contact information must include the written consent signed by a parent for emergency medical care. A child's record shall contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission.
The emergency contact on file for Child #1 does not include written parental permission for the facility to obtain emergency medical care.
Corrected Corrected by Dec 7, 2023
Category: recordkeeping. Marked corrected in the state record.
3270.124(b)(7) · Emergency contact information must include the name, address and telephone number of the individual designated by the parent to whom the child may be released.
The emergency contact form for Child #2 lacked the phone number of the listed release person.
Corrected Corrected by Dec 7, 2023
Category: recordkeeping. Marked corrected in the state record.
3270.124(f)/3270.181(c) · The parent shall update in writing emergency contact information once in a 6-month period or as soon as there is a change in the information. A parent is required to review and update the emergency contact information and the financial agreement at least once in a 6-month period or as soon as there is a change in the information.
The file for Child #2 (4/18/23) and Child #3 (4/21/23) contained an emergency contact form that was not updated within 6 months of the previous update.
Corrected Corrected by Dec 7, 2023
Category: recordkeeping. Marked corrected in the state record.
3270.131(b)(2)/3270.182(1) · The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child. A child's record shall contain initial and subsequent health reports.
The most recent health assessment on file for Child #2, who is a preschool age child, is dated 12/1/22, more than 12 months prior.
Corrected Corrected by Dec 14, 2023
Category: health medication. Marked corrected in the state record.
3270.131(c) · A health report must be written and signed by a physician, physician's assistant or a CRNP. The signature must include the individual's professional title.
The initial health assessment on file for Child #3 dated 1/6/22 is not signed by the examining health care professional (MD, CRNP, or PA), making it invalid.
Corrected Corrected by Feb 23, 2023
Category: health medication. Marked corrected in the state record.
3270.131(d)(5)/3270.131(e)(3) · A health report shall include a review of the child's immunized status according to recommendations of the ACIP. The facility shall implement dismissal policies in accordance with the Department of Health regulation in 28 Pa. Code § 27.77 (relating to immunization requirements for children in child care group settings).
The file for Child #2 (5 yr) contained the most recent influenza vaccination dated 2/3/20, which is dated more than 1 year ago, without a Letter of Exemption in the file. The file for Child #4 (2 yr) contained the most recent influenza vaccination dated 1/10/22, which is dated more than 1 year ago, without a Letter of Exemption in the file. Child #2 and Child #4 must be dismissed from care by close of business on 12/7/2023 and may only return to care when the immunization record is updated or when a parent provides a written, signed exemption letter.
Corrected Corrected by Dec 7, 2023
Category: health medication. Marked corrected in the state record.
3270.135(a)(3) · If disposable diapers are provided by a parent or by a facility, a soiled diaper shall be discarded by immediately placing the diaper into a plastic-lined, hands-free covered can.
While observing diaper changes in the Infant Room, Staff #3 was observed opening the hands free can for diaper disposal with their hands.
Corrected Corrected by Dec 7, 2023
Category: health medication. Marked corrected in the state record.
3270.151(a)/3270.192(3) · A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem. A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.
The two most recent health assessments on file for Staff #1 are dated 9/8/21 and 11/15/23, more than 24 months apart.
Corrected Corrected by Nov 15, 2023
Category: ratio. Marked corrected in the state record.
3270.27(a)(6) · Emergency drills shall be conducted annually. Annual emergency drills shall be documented and on file at the facility.
The most recent Emergency Drill at the facility was dated 10/18/22, which is more than 12 months ago.
Corrected Corrected by Dec 8, 2023
Category: recordkeeping. Marked corrected in the state record.
3270.94(a)(1) · The Director or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that fire drills are conducted at least once every 60 days.
The fire drill log on file included fire drills conducted 8/10/23-10/10/23, more than 60 days apart.
Corrected Corrected by Nov 8, 2023
Category: recordkeeping. Marked corrected in the state record.
3270.95(a)/3270.95(b) · Fire detection devices or systems must be in compliance with standards established under section 1016(c) of the act (62 P.S. § 1016(c)). The Director or designated staff person who is responsible for compliance with this chapter shall ensure the requirements under subsection (a) are met.
The fire alarm 30-day test log includes test dates 5/2/23-6/2/23, 6/2/23-8/12/23, and 9/8/23-11/9/23, more than 30 days apart.
Corrected Corrected by Jan 5, 2024
Category: recordkeeping. Marked corrected in the state record.
3270.27(f) · The operator shall send a copy of the emergency plan and subsequent plan updates to the local municipality and to the county emergency management agency.
The facility files lacked evidence of the Emergency Plan and subsequent plan updates were sent to the local municipality and County Emergency Management Services.
Corrected Corrected by Dec 28, 2023
Category: recordkeeping. Marked corrected in the state record.
3270.171(a) · An operator shall notify local traffic safety authorities annually in writing of the location of the facility and the program's use of pedestrian and vehicular routes around the child care facility.
The facility's letter notifying local traffic safety authorities of the location of the facility and the program's use of pedestrian and vehicular routes around the child care facility lacked a date, which does not verify if the letter was sent annually.
Corrected Corrected by Dec 18, 2023
Marked corrected in the state record.
3270.14/3270.21 · A facility shall be operated in conformity with applicable Federal and State laws and regulations.State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children.
The facility's emergency plan did not include requirements for volunteer emergency preparedness training and continuity of operations plan to maintain compliance with 45 CFR § 98.41(a)(1)(vii)
Corrected Corrected by Mar 17, 2023
Category: ratio. Marked corrected in the state record.
3270.66(a) · Cleaning materials and other toxic materials shall be kept in an area or container that is locked or made inaccessible to children.
The following cleaning materials and other toxic materials that were labeled keep out of the reach of children were observed in areas accessible to children in care: White Out and hand sanitizer were observed in an unlocked teacher's desk drawer in the orange room by the entrance to the facility; and Lysol wipes, bleach cleaner and Clorox toilet bowl cleaner were observed in an unlocked utility closet in the bathroom.
Corrected Corrected by Mar 17, 2023
Marked corrected in the state record.
3270.75(b) · A first-aid kit must be inaccessible to children.
A first-aid kit was observed on the director's desk in the blue room, accessible to children in care.
Corrected Corrected by Mar 17, 2023
Marked corrected in the state record.
3270.102(a) · Toys, play equipment and other indoor and outdoor equipment used by the children shall be clean, in good repair and free from rough edges, sharp corners, pinch and crush points, splinters and exposed bolts.
The top of a children's table in the orange room was not in good repair (torn vinyl).
Corrected Corrected by Mar 17, 2023
Category: physical safety. Marked corrected in the state record.
3270.108(c) · Styrofoam cups and plates may not be used.
Styrofoam cups and plates were being used by children in care.
Corrected Corrected by Mar 17, 2023
Marked corrected in the state record.
3270.123(a) · An agreement shall be signed by the operator and the parent. The subsequent agreement was signed by the parent.
The initial agreement for child #4 was not signed by the parent.
Corrected Corrected by Mar 17, 2023
Category: recordkeeping. Marked corrected in the state record.
3270.123(a)(3) · The services to be provided to the family and the child, including the Department's approved form to provide information to the family about the child's growth and development in the context of the services being provided. The operator shall complete and update the form and provide a copy to the family in accordance with the updates regarding emergency contact information in § 3270.124(f) (relating to emergency contact information).
A Child Service Report (the Department's approved form to provide information to the family about the child's growth and development) was not completed for child #1 and #3 who have been in attendance at the child care facility for more than a 6-month period.
Corrected Corrected by Mar 20, 2023
Category: recordkeeping. Marked corrected in the state record.
3270.123(a)(4) · An agreement shall specify the child's arrival and departure times.
The agreement for child #4 did not specify the child's departure time.
Corrected Corrected by Mar 17, 2023
Category: recordkeeping. Marked corrected in the state record.
3270.123(b)/3270.182(8) · A parent shall receive the original agreement. The facility shall retain a copy of the agreement. A child's record shall contain a copy of the initial agreement and subsequent written agreements between the parent and the operator. The parent receives the original agreement.
The record for child #3 and #4 contained the original copy of the agreement between the parent and the operator.
Corrected Corrected by Mar 17, 2023
Category: recordkeeping. Marked corrected in the state record.
3270.124(b)(6) · Emergency contact information must include health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable.
The emergency contact information for child #2 did not include health insurance coverage.
Corrected Corrected by Mar 17, 2023
Category: health medication. Marked corrected in the state record.
3270.124(f)/3270.181(c) · The parent shall update in writing emergency contact information once in a 6-month period or as soon as there is a change in the information. A parent is required to review and update the emergency contact information and the financial agreement at least once in a 6-month period or as soon as there is a change in the information.
The emergency contact information for child #1, #3 and #4 who has been in attendance at the facility for more than a 6-month period has not been reviewed by a parent.
Corrected Corrected by Mar 17, 2023
Category: recordkeeping. Marked corrected in the state record.
3270.131(b)(1)/3270.182(1) · The operator shall require the parent to provide an updated health report at least every 6 months for an infant or young toddler. A child's record shall contain initial and subsequent health reports.
The record for child #1, a young toddler, contained a current health report dated more than 6 months following the date of their previous health report.
Corrected Corrected by Mar 17, 2023
Category: health medication. Marked corrected in the state record.
3270.131(a)/3270.182(1) · The operator shall require the parent of an enrolled child, including a child, a foster child and a relative of an operator or a facility person, to provide an initial health report no later than 60 days following the first day of attendance at the facility. A child's record shall contain initial and subsequent health reports.
The record for child #3 contained an initial health report dated more than 60 days following the child's first day of attendance at the facility.
Corrected Corrected by Mar 17, 2023
Category: health medication. Marked corrected in the state record.
3270.123(a)(4) · An agreement shall specify the child's arrival and departure times.
SECOND VIOLATION The file for Child #3 contained an agreement which lacked the child's times of care. Previously cited on SIN-00208800 on 7/22/22.
Corrected Corrected by Oct 5, 2022
Category: recordkeeping. Marked corrected in the state record.
3270.192(5) · A facility person's record shall include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person
The file for Staff #6 lacked documentation of two written, nonfamily references.
Corrected Corrected by Oct 5, 2022
Category: recordkeeping. Marked corrected in the state record.
3270.21 · Conditions at the facility may not pose a threat to the health or safety of the children.
SECOND VIOLATION A loose crib sheet was observed on a crib in which an infant was sleeping. Previously cited on SIN-00208800 on 7/22/22.
Corrected Corrected by Sep 28, 2022
Category: health medication. Marked corrected in the state record.
3270.25(b) · The operator shall post a copy of each inspection summary issued by the Department in a conspicuous location used by parents. The inspection summary shall remain posted until an agent of the Department verifies that each regulatory noncompliance item cited on the inspection summary has been corrected.
A copy of the renewal inspection SIN-0020880 was not posted in the facility in a conspicuous location on the day of the inspection.
Corrected Corrected by Sep 27, 2022
Marked corrected in the state record.
3270.32(a)/3270.192(4) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services).A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Person #6--- may not work in a child care position at the facility.
*SECOND VIOLATION The file for Staff #6 lacked a state police clearance, no receipt for state police clearance and an FBI clearance indicating a record without a RAP sheet. Staff #6 was observed in ratio with children on 9/27/22 Previously cited on SIN-00208800 on 7/22/22.
Corrected Corrected by Sep 28, 2022
Category: ratio. Marked corrected in the state record.
3270.32(a)/3270.192(4) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Person #6 may not work at the facility. For a period of three months from the acceptance of the provider's plan of correction, the provider shall provide the certification representative all clearance documents for full or provisional hire for review prior to the employee's start date.
**SECOND VIOLATION The file for Staff #6 lacked a state police clearance, no receipt for state police clearance and an FBI clearance indicating a record without a RAP sheet. Staff #6 was observed in ratio with children on 9/27/22 Previously cited on SIN-00208800 on 7/22/22.
Corrected Corrected by Feb 9, 2023
Category: ratio. Marked corrected in the state record.
3270.33(a)/3270.192(2)(ii) · A staff person or a substitute staff person shall meet one of the applicable staff qualifications for the position in which the person is performing.A facility person's record shall include verification of child care experience, education and training prior to service at the facility.
*SECOND VIOLATION The file for Staff #6 lacked documentation of education and contained documentation of 2424 hours. Previously cited on SIN-00208800 on 7/22/22.
Corrected Corrected by Oct 5, 2022
Category: recordkeeping. Marked corrected in the state record.
3270.33(a)/3270.192(2)(ii) · Within three months of the acceptance of plans of correction, the legal entity will coordinate and comply with ELRC 5 to provide technical assistance in the subject of file organization. Technical assistance will provide guidance to staff who are responsible for staff files in the areas of content, timeliness, staff qualifications and clearances.
**SECOND VIOLATION The file for Staff #6 lacked documentation of education and contained documentation of 2424 hours. Previously cited on SIN-00208800 on 7/22/22.
Corrected Corrected by Feb 9, 2023
Category: background checks. Marked corrected in the state record.
3270.106(a) · Individual, clean, age-appropriate rest equipment shall be provided for preschool, toddler and infant children as agreed between the child's parent and the operator. The rest equipment shall be labeled for the use of a specific child and used only by the specified child.
SECOND VIOLATION The cribs were observed to lack labels for the children they were intended for. Previously cited on SIN-00208800 on 7/22/22.
Corrected Corrected by Sep 27, 2022
Category: physical safety. Marked corrected in the state record.
3270.106(f) · At least 2 feet of space is required on three sides of a bed, cot, crib or other rest equipment while the equipment is in use.
SECOND VIOLATION An infant was observed sleeping in a crib which lacked two feet of space on three sides. Previously cited on SIN-00208800 on 7/22/22.
Corrected Corrected by Sep 27, 2022
Category: physical safety. Marked corrected in the state record.
3270.123(a)(5) · An agreement shall specify the persons designated by a parent to whom the child may be released.
SECOND VIOLATION The files for Child #1, #2, #3 and #4 contained agreements which lacked release persons for the child. Previously cited on SIN-00208800 on 7/22/22.
Corrected Corrected by Oct 6, 2022
Category: recordkeeping. Marked corrected in the state record.
3270.123(a)(6) · An agreement shall specify the date of the child's admission.
SECOND VIOLATION The files for Child #1, #2, #3 and #4 contained agreements which lacked the children's enrollment dates. Previously cited on SIN-00208800 on 7/22/22.
Corrected Corrected by Oct 5, 2022
Category: recordkeeping. Marked corrected in the state record.
3270.124(b)(3) · Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent.
SECOND VIOLATION The files for Child #1, and #4 contained emergency contact forms which lacked the work addresses and telephone numbers of the enrolling parents. The file for Child #3 contained an emergency contact form which lacked the work telephone number of the enrolling parent. Previously cited on SIN-00208800 on 7/22/22.
Corrected Corrected by Oct 5, 2022
Category: recordkeeping. Marked corrected in the state record.
3270.124(b)(6) · Emergency contact information must include health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable.
SECOND VIOLATION The file for Child #3 contained an emergency contact form which lacked the child's health insurance information. Previously cited on SIN-00208800 on 7/22/22.
Corrected Corrected by Oct 5, 2022
Category: health medication. Marked corrected in the state record.
3270.124(b)(7) · Emergency contact information must include the name, address and telephone number of the individual designated by the parent to whom the child may be released.
SECOND VIOLATION The file for Child #4 contained an emergency contact form which lacked the full address for release persons. Previously cited on SIN-00208800 on 7/22/22.
Corrected Corrected by Oct 4, 2022
Category: recordkeeping. Marked corrected in the state record.
3270.131(e)(1) · The facility shall require the parent to provide updated written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of ongoing vaccines administered to an infant, toddler or preschool child in accordance with the schedule recommended by the ACIP.
SECOND VIOLATION The file for Child #3 contained a record of immunization history which lacked a current influenza vaccination. Previously cited on SIN-00208800 on 7/22/22.
Corrected Corrected by Oct 5, 2022
Category: health medication. Marked corrected in the state record.
3270.151(a)/3270.192(3) · A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem.A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.
SECOND VIOLATION The file for Staff #6 lacked documentation of an initial health assessment. Previously cited on SIN-00208800 on 7/22/22.
Corrected Corrected by Oct 1, 2022
Category: ratio. Marked corrected in the state record.
3270.151(c)(2) · An adult health assessment must include tuberculosis screening by the Mantoux method at initial employment. Subsequent tuberculosis screening is not required unless directed by a physician, physician's assistant, CRNP, the Department of Health or a local health department.
The file for Staff #6 lacked documentation of an initial tuberculosis screening by the Mantoux method.
Corrected Corrected by Oct 1, 2022
Category: health medication. Marked corrected in the state record.
3270.151(c)(5) · An adult health assessment must include the physician's or CRNP's assessment of the person's suitability to provide child care.
SECOND VIOLATION The file for Staff #3 contained a health assessment which lacked the medical provider's assessment of the person's suitability to provide child care. Previously cited on SIN-00208800 on 7/22/22.
Corrected Corrected by Oct 13, 2022
Category: health medication. Marked corrected in the state record.
3270.166(1) · A written statement giving the formula and feeding schedule for an infant shall be obtained from the parent.
SECOND VIOLATION A written statement giving the formula and feeding schedule was not available at the facility at the time of inspection for one of the infants in care. Previously cited on SIN-00208800 on 7/22/22.
Corrected Corrected by Oct 5, 2022
Category: nutrition. Marked corrected in the state record.
3270.182(3) · A child's record shall contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission.
SECOND VIOLATION The file for Child #3 contained an emergency contact form which lacked written parental consent for emergency medical care. Previously cited on SIN-00208800 on 7/22/22.
Corrected Corrected by Oct 5, 2022
Category: recordkeeping. Marked corrected in the state record.
3270.182(5) · A child's record shall contain signed parental consent for administration of minor first-aid procedures by facility staff. Written consent is required prior to admission.
SECOND VIOLATION The files for Child #3 and #4 contained emergency contact forms which lacked written parental consent for the administration of first-aid. Previously cited on SIN-00208800 on 7/22/22.
Corrected Corrected by Oct 5, 2022
Category: ratio. Marked corrected in the state record.
3270.14/3270.21 · A facility shall be operated in conformity with applicable Federal and State laws and regulations.State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation.Conditions at the facility may not pose a threat to the health or safety of the children.
The facility lacked documentation of a policy regarding Prevention of Shaken Baby, Syndrome, Abusive Head Trauma, and Child Maltreatment .
Corrected Corrected by Jul 27, 2022
Category: ratio. Marked corrected in the state record.
3270.14/3270.21 · A facility shall be operated in conformity with applicable Federal and State laws and regulations. State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children. Until such time as the required pre-service trainings are completed, staff person #2 must be supervised, when interacting with children, by an AGS who has completed the required training related to this citation. If there are no staff person(s) available to supervise staff person #2, staff person #2 may not work in a child-care position at the facility.
Staff person #2 was observed to be caring for children unsupervised. Staff person #2 has not completed the following pre-service training required prior to caring for children unsupervised: health and safety training.
Corrected Corrected by Aug 1, 2022
Category: supervision. Marked corrected in the state record.
3270.21 · Conditions at the facility may not pose a threat to the health or safety of the children.
A loose crib sheet was observed on a crib in which an infant was sleeping.
Corrected Corrected by Jul 26, 2022
Category: health medication. Marked corrected in the state record.
3270.27(a) · The facility shall have an emergency plan.
The facility's emergency plan was not available at the time of the inspection.
Corrected Corrected by Jul 22, 2022
Category: physical safety. Marked corrected in the state record.
3270.31(f) · Staff person(s) shall complete professional development in the topics of 3270.31(f)(1 -- 10), within 90 days of hire. Staff person #2 will have until 9/21/22 to complete the required training. Until such time as the required training has been completed, staff person #2 must be supervised, when interacting with children, by an AGS who has completed the required training related to this citation. If there are no staff available to supervise staff person #2, staff person #2 may not work in a child-care position at the facility.
Staff person #2 had not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): health and safety training.
Corrected Corrected by Aug 1, 2022
Category: supervision. Marked corrected in the state record.
3270.32(a)/3270.192(4) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services).A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Person #1,#4 and #5 -- may not work at the facility.
The files for Staff #1 and #4 contained state police clearances dated after the first days of employment and lacked receipts for state police clearances. The file for Staff #1 contained a disclosure statement which lacked a date. The file for Staff #2 contained a state police, FBI and NSOR clearance dated after the first day of employment and lacked receipts for those clearances. The file for Staff #4 lacked a child abuse clearance and receipt for child abuse clearance. The file for Staff #4 contained an FBI clearance which lacked dispositions for listed charges. The file for Staff #5 contained a disclosure statement and state police clearance dated after the first day of employment. The file for Staff #5 contained a state police clearance RAP sheet which contained felony charges which had not been submitted for review to the Regional Office. The file for Staff #5 lacked a valid FBI clearance.
Corrected Corrected by Sep 1, 2022
Category: background checks. Marked corrected in the state record.
3270.103 · Toys and objects with a diameter of less than 1 inch, objects with removable parts that have a diameter of less than 1 inch, plastic bags and styrofoam objects may not be accessible to children who are still placing objects in their mouths.
Small beads were observed to be accessible to small children who may still be placing objects in their mouths in the play kitchen and in the blue bin in the outdoor play space.
Corrected Corrected by Jul 22, 2022
Category: physical safety. Marked corrected in the state record.
3270.33(a)/3270.192(2)(ii) · A staff person or a substitute staff person shall meet one of the applicable staff qualifications for the position in which the person is performing.A facility person's record shall include verification of child care experience, education and training prior to service at the facility.
The file for Staff #1 contained documentation of more than two years of child care experience yet lacked documentation of education. The file for Staff #5 lacked documentation of education and/or experience to qualify him in a position in the facility.
Corrected Corrected by Aug 15, 2022
Category: recordkeeping. Marked corrected in the state record.
3270.52 · When children are grouped in mixed age levels, the age of the youngest child in the group determines the staff:child ratio and maximum group size in accordance with the requirements in § 3270.51 (relating to similar age level).
Upon assessment of ratio and supervision in the Main Room on 7/22/22 at 11:40 AM, two staff were present with 3 Infants, 5 YT, 1 PS and 1 YSA.
Corrected Corrected by Jul 22, 2022
Category: supervision. Marked corrected in the state record.
3270.54(b) · At least two facility persons shall be present when children are on an excursion away from the facility. At a minimum, one of the facility persons shall be a staff person.
At 12:15 PM on 7/22/22, Staff #2 returned from a nature walk with 7 YSA. Staff #2 was alone on the excursion with the children.
Corrected Corrected by Jul 22, 2022
Category: recordkeeping. Marked corrected in the state record.
3270.66(a) · Cleaning materials and other toxic materials shall be kept in an area or container that is locked or made inaccessible to children.
Toothpaste labeled Keep out of Reach of Children was observed to be accessible to children in an unlocked cabinet by the changing table in the Main Room. Febreze labeled Keep out of Reach of Children was observed to be accessible to children on a low shelf in the bathroom.
Corrected Corrected by Jul 22, 2022
Marked corrected in the state record.
3270.76 · Floors, walls, ceilings and other surfaces, including the facility's outdoor play space surfaces shall be kept clean, in good repair and free from visible hazards.
Soiled drinking cups and soiled masks were observed on the ground of the outdoor play space.
Corrected Corrected by Jul 22, 2022
Category: physical safety. Marked corrected in the state record.
3270.81 · A visual strip or other visual identification shall be placed on glass located in a traffic area, a child care space or a play space.
The front door, which was a solid glass pane, was observed to lack a visual strip or other visual identification.
Corrected Corrected by Aug 15, 2022
Category: physical safety. Marked corrected in the state record.
3270.106(a) · Individual, clean, age-appropriate rest equipment shall be provided for preschool, toddler and infant children as agreed between the child's parent and the operator. The rest equipment shall be labeled for the use of a specific child and used only by the specified child.
The Main Room contained 6 cribs and pack and plays for the 8 infants and toddlers in care in that room. The cribs in the Main Room were observed to lack labels for whom they were intended. The cots in the Blue Room were observed to contain number labels, but no identifying list of child names was available to coordinate with the numbers.
Corrected Corrected by Jul 25, 2022
Category: physical safety. Marked corrected in the state record.
3270.106(f) · At least 2 feet of space is required on three sides of a bed, cot, crib or other rest equipment while the equipment is in use.
Infants were observed sleeping in cribs which did not have two feet of space on at least three sides.
Corrected Corrected by Jul 22, 2022
Category: physical safety. Marked corrected in the state record.
3270.106(j) · Toys, bumper pads, or pillows may not be present in a crib while an infant is sleeping in the crib.
A toy was observed in a pack and play in which an infant was sleeping.
Corrected Corrected by Jul 22, 2022
Category: physical safety. Marked corrected in the state record.
3270.123(a)(2) · An agreement shall specify the date on which the fee is to be paid.
The file for Child #5 contained an agreement which lacked the due date for payment.
Corrected Corrected by Jul 26, 2022
Category: recordkeeping. Marked corrected in the state record.
3270.123(a)(4) · An agreement shall specify the child's arrival and departure times.
The file for Child #3 contained an agreement which lacked the child's times of care.
Corrected Corrected by Sep 6, 2022
Category: recordkeeping. Marked corrected in the state record.
3270.123(a)(5) · An agreement shall specify the persons designated by a parent to whom the child may be released.
The files for Child #1, #2, #3, #4 and #5 contained agreements which lacked the release persons.
Corrected Corrected by Sep 6, 2022
Category: recordkeeping. Marked corrected in the state record.
3270.123(a)(6) · An agreement shall specify the date of the child's admission.
The files for Child #1, #2, #3, #4 and #5 contained agreements which lacked the enrollment dates for the children.
Corrected Corrected by Sep 6, 2022
Category: recordkeeping. Marked corrected in the state record.
3270.124(b)(3) · Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent.
The files for Child #1, #4 and #5 contained emergency contact forms which lacked the work addresses and telephone numbers of the enrolling parents. The file for Child #3 contained an emergency contact form which lacked the work telephone number of the enrolling parent.
Corrected Corrected by Jul 29, 2022
Category: recordkeeping. Marked corrected in the state record.
3270.124(b)(6) · Emergency contact information must include health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable.
The files for Child #3 and #5 contained emergency contact forms which lacked the health insurance coverage for the child.
Corrected Corrected by Aug 27, 2022
Category: health medication. Marked corrected in the state record.
3270.124(b)(7) · Emergency contact information must include the name, address and telephone number of the individual designated by the parent to whom the child may be released.
The files for Child #4 and #5 contained emergency contact forms which lacked full addresses for release persons.
Corrected Corrected by Jul 29, 2022
Category: recordkeeping. Marked corrected in the state record.
3270.124(c) · When children are in the facility, emergency contact information shall be present in a child care space for children receiving care in the space.
Emergency contact forms were not present in the Blue Room for children being cared for in that room. According to operator report, emergency contact forms did not accompany the children in the outdoor play space.
Corrected Corrected by Jul 27, 2022
Category: recordkeeping. Marked corrected in the state record.
3270.124(d) · When children leave the facility on walking and riding excursions, emergency contact information specific to each child on the excursion shall accompany a staff person on the excursion.
While SA children were on a walking excursion on 7/22/22, emergency contact forms did not accompany the children.
Corrected Corrected by Jul 29, 2022
Category: recordkeeping. Marked corrected in the state record.
3270.131(e)(1) · The facility shall require the parent to provide updated written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of ongoing vaccines administered to an infant, toddler or preschool child in accordance with the schedule recommended by the ACIP.
The files for Child #1 and #3 contained records of immunization history which lacked current influenza vaccinations.
Corrected Corrected by Jul 29, 2022
Category: health medication. Marked corrected in the state record.
3270.151(a)/3270.192(3) · A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem.A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.
The file for Staff #3 lacked documentation of an initial health assessment. The file for Staff #5 contained a health assessment dated after the first day of employment.
Corrected Corrected by Aug 12, 2022
Category: ratio. Marked corrected in the state record.
3270.151(c)(5) · An adult health assessment must include the physician's or CRNP's assessment of the person's suitability to provide child care.
The files for Staff #4 and #5 contained health assessments which lacked he physician's or CRNP's assessment of the person's suitability to provide child care.
Corrected Corrected by Aug 15, 2022
Category: health medication. Marked corrected in the state record.
3270.165 · An operator shall conspicuously post the menu at least 1 week in advance or provide a menu to each family.
The menu was not posted at the facility nor was it provided to each family, per operator report.
Corrected Corrected by Sep 1, 2022
Marked corrected in the state record.
3270.166(1) · A written statement giving the formula and feeding schedule for an infant shall be obtained from the parent.
Written statements from the parents giving the formula and feeding schedules were not available for the infants in care.
Corrected Corrected by Aug 29, 2022
Category: nutrition. Marked corrected in the state record.
3270.166(4) · Disposable nursers and bottles shall be labeled with the child's name.
Bottles containing liquids were not labeled with children's names.
Corrected Corrected by Aug 26, 2022
Marked corrected in the state record.
3270.171(c) · Written notification of safe routes shall be posted by the operator at a conspicuous location in the child care facility.
Written notification of safe routes was not posted in the facility.
Corrected Corrected by Sep 10, 2022
Marked corrected in the state record.
3270.182(3) · A child's record shall contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission.
The files for Child #3 and #5 contained emergency contact forms which lacked written parental consent for emergency medical care.
Corrected Corrected by Aug 29, 2022
Category: recordkeeping. Marked corrected in the state record.
3270.182(5) · A child's record shall contain signed parental consent for administration of minor first-aid procedures by facility staff. Written consent is required prior to admission.
The files for Child #3, #4 and #5 contained emergency contact forms which lacked written parental consent for administration of first-aid.
Corrected Corrected by Aug 29, 2022
Category: ratio. Marked corrected in the state record.
3270.94(a)(9) · The Director or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that a written record is maintained on file at the facility indicating the specific time of day of the drill, the hypothetical location of the fire, the evacuation time, and the names of the facility persons and the number of children who participate in the fire drill.
The fire drill log was observed to contain drills which lacked the place of the hypothetical location of the fire and the number of children involved in the drill.
Corrected Corrected by Aug 3, 2022
Category: recordkeeping. Marked corrected in the state record.
3270.95(a)/3270.95(b) · Fire detection devices or systems must be in compliance with standards established under section 1016(c) of the act (62 P.S. § 1016(c)).The Director or designated staff person who is responsible for compliance with this chapter shall ensure the requirements under subsection (a) are met.
Documentation of 30 day testing of the fire detection system was observed to contain testing dates more than 30 days apart.
Corrected Corrected by Jul 22, 2022
Category: recordkeeping. Marked corrected in the state record.
3270.21 · Conditions at the facility may not pose a threat to the health or safety of the children.
Standing water was observed in a bucket next to the toilet in the unisex bathroom.
Corrected Corrected by Apr 4, 2022
Category: health medication. Marked corrected in the state record.
3270.34(b)(1)/3270.192(2)(ii) · A director shall have attained a bachelor's degree from an accredited college or university in early childhood education, child development, special education, elementary education or the human services field and 1 year of experience with children.A facility person's record shall include verification of child care experience, education and training prior to service at the facility.
The file for Staff #1, designated as the Director, contained a diploma designating a bachelor's degree in an unnamed major and lacked documentation of 1 year of experience with children.
Corrected Corrected by Apr 6, 2022
Category: recordkeeping. Marked corrected in the state record.
3270.66(a) · Cleaning materials and other toxic materials shall be kept in an area or container that is locked or made inaccessible to children.
A toxic compounding substance was observed to be accessible to children in an unlidded can on the floor of the main room, two toxic paint cans were observed to be accessible to children in unlidded cans on the floor of the main room, a toxic super glue was observed to be accessible to children in an unlocked cabinet drawer in he kitchen area of the main room, a toxic cleaner was observed to be accessible to children on the back of the toilet in the bathroom, a toxic air freshener was observed to be accessible to children on a shelf in the bathroom and a toxic hand sanitizer was observed to be accessible to children on the sink in the bathroom.
Corrected Corrected by Apr 4, 2022
Marked corrected in the state record.
3270.77(a) · Peeled or damaged paint or damaged plaster is not permitted on indoor or outdoor surfaces in the child care facility.
Peeling paint was observed on the white gate posts in the outdoor play space.
Corrected Corrected by Apr 4, 2022
Category: physical safety. Marked corrected in the state record.
3270.82(h) · A facility person and an able child shall wash his hands after toileting and before eating. A sign on which this requirement is written shall be posted at each toilet, training chair, diapering area and sink in the facility.
The toilets in the unisex bathroom and the children's bathroom were observed to lack handwashing signs.
Corrected Corrected by Apr 4, 2022
Category: health medication. Marked corrected in the state record.
3270.82(i) · A toilet area, training chair area, diapering area and sink area shall be equipped with a clean, lidded waste receptacle.
The unisex bathroom was observed to lack a lidded waste receptacle.
Corrected Corrected by Apr 4, 2022
Category: health medication. Marked corrected in the state record.
3270.102(a) · Toys, play equipment and other indoor and outdoor equipment used by the children shall be clean, in good repair and free from rough edges, sharp corners, pinch and crush points, splinters and exposed bolts.
A broken toy bin was observed in the outdoor play space, causing a rough edge.
Corrected Corrected by Apr 4, 2022
Category: physical safety. Marked corrected in the state record.
3270.103 · Toys and objects with a diameter of less than 1 inch, objects with removable parts that have a diameter of less than 1 inch, plastic bags and styrofoam objects may not be accessible to children who are still placing objects in their mouths.
Foam cushioning, which was observed around the edge of a low window sill and was crumbling off to the touch, was in an area of the main room meant for toddlers, accessible to children who may still be placing objects in their mouths. Small marble-like balls, with a diameter of less than one inch were observed to be accessible to children who may still be placing objects in their mouths, in a play table in the main area.
Corrected Corrected by Apr 5, 2022
Marked corrected in the state record.
3270.107 · A facility shall have an operable, clean refrigerator used to store potentially hazardous foods. The refrigerator shall be capable of maintaining food at 45° F or below. An operating thermometer shall be placed in the refrigerator.
The refrigerator was observed to lack a thermometer.
Corrected Corrected by Apr 6, 2022
Category: nutrition. Marked corrected in the state record.
3270.151(a)/3270.192(3) · A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem.A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.
The file for Staff #1 lacked a completed initial health assessment.
Corrected Corrected by Apr 7, 2022
Category: ratio. Marked corrected in the state record.
3270.192(5) · A facility person's record shall include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person
The file for Staff #1 contained 1 of the 2 required written, nonfamily references.
Corrected Corrected by Apr 6, 2022
Category: recordkeeping. Marked corrected in the state record.
3270.27(f) · The operator shall send a copy of the emergency plan and subsequent plan updates to the local municipality and to the county emergency management agency.
The observed emergency plan was reported to be sent to the local municipality but not to the county emergency management agency.
Corrected Corrected by Apr 6, 2022
Category: physical safety. Marked corrected in the state record.